Joachim Szecsenyi

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BACKGROUND Patients' evaluations can be used to improve health care and compare general practice in different health systems. AIM To identify aspects of general practice that are generally evaluated positively by patients and to compare opinions of patients in different European countries on actual care provision. METHOD An internationally-validated(More)
OBJECTIVE The Chronic Care Model (CCM) and the 5A approach have achieved widespread acceptance and reflect the core elements of patient-centred care in chronic diseases, including osteoarthritis (OA). The aim was to assess to what extent current care for patients with osteoarthritis accords with the CCM in Germany and to reveal possible predictors to assess(More)
BACKGROUND Research in General Practice requires the participation of General practitioners (GPs). In Germany there is little tradition of research in this field, and GPs are not used to be participants in research. Little is known about German GPs attitudes towards research. Therefore the aim of our study was to assess the willingness of German General(More)
BACKGROUND Osteoarthritis (OA) is highly prevalent and has substantial impact on quality of life as well as on healthcare costs. The general practitioner (GP) often is the first care provider for patients with this chronic disease. The aim of this study was to identify health care needs of patients with OA and to reveal possible obstacles for improvements(More)
The patients' active participation in their medical care is important for patients with chronic diseases. Measurements of patient activation are needed for studies and in clinical practice. This study aims to validate the Patient Activation Measure 13 (PAM13-D) in German-speaking primary care patients. This international cross-sectional multicentre study(More)
BACKGROUND AND OBJECTIVES Improving the sensitivity of general practice to patients' needs demands a good understanding of patients' expectations and priorities in care provision. Insight into differences in expectations of patients in different cultures and health care systems may support decision-making on desirable models for care provision in general(More)
OBJECTIVES The aim of the study was to examine the validity of a translated and culturally adapted version of the Arthritis Impact Measurement Scales 2, Short Form (AIMS2-SF) in patients suffering from osteoarthritis (OA) in primary care. METHODS A structured procedure was used for the translation and cultural adaptation of the AIMS2-SF into German. The(More)
OBJECTIVE To compare the mortality rate of patients with type 2 diabetes who were enrolled in the German diabetes disease management program (DMP) with the mortality rate of those who were not enrolled. STUDY DESIGN This observational study was part of the ELSID study (Evaluation of a Large Scale Implementation of disease management programs) in Germany.(More)
OBJECTIVE Depression, anxiety, and somatization are the most frequently observed mental disorders in primary health care. Our main objective was to draw on the often neglected general practitioners' (GPs) perspective to investigate what characterizes these three common mental diagnoses with regard to creating more suitable categories in the DSM-V and(More)
BACKGROUND Due to technological progress and improvements in medical care and health policy the average age of patients in primary care is continuously growing. In equal measure, an increasing proportion of mostly elderly primary care patients presents with multiple coexisting medical conditions. To properly assess the current situation of co- and(More)